Individual
AMY KATHLEEN ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
082688
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209008371
IL
Other
Enumeration date
03/04/2010
Last updated
05/28/2025
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